Dr. Ridwan Sudirgo is a Montebello, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ridwan Sudirgo is 36010 for General Practice Dentistry in California. His current practice location is 2218 W Beverly Blvd, Montebello. Patients can reach him at 323-721-6221.
Dr. Ridwan Sudirgo is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ridwan Sudirgo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ridwan Sudirgo
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
2218 W Beverly Blvd, Montebello, California, 90640-2302
Phone:
323-721-6221
Fax:
323-721-8641
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811037443
NPI Enumeration Date:
06 Feb, 2007
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ridwan Sudirgo are as mentioned below.
License Number
Specialization
State
Status
36010
General Practice Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ridwan Sudirgo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B 36010-01
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 3066, Montebello, California
Zip:
90640-8366
Phone Number:
323-721-6221
Fax Number:
323-721-8641
Patients can reach Dr. Ridwan Sudirgo at 2218 W Beverly Blvd, Montebello, California or can call to book an appointment on 323-721-6221. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.